In order for us to better assist clients in receiving appropriate services, we ask that individuals provide an Outpatient Referral Form.

Please fill out the pdf below and return it via email with all requested documentation to jschorr@colbhn.com OR click on the link below and attach all requested documentation. 

To submit a referral via pdf click on the button below. 

To submit a referral via an online form click on the button below.